<!DOCTYPE html>
<html>
<head>
	<meta charset="utf-8">
	<title>Nearby Map - Register Services</title>
	<link rel="canonical" href="http://www.nearbymap.com/reg.htm">
	<link type="text/css" rel="stylesheet" href="cafe-matrix.css">
	<script src="http://maps.googleapis.com/maps/api/js?sensor=true&libraries=places"></script>
	<script type='text/javascript' src='https://www.google.com/jsapi'></script>
	<script type='text/javascript' src='reg.js'></script>
	<script type="text/javascript">
	var _gaq = _gaq || [];
	_gaq.push(['_setAccount', 'UA-34190252-1']);
	_gaq.push(['_trackPageview']);
	(function() {
	var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true;
	ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js';
	var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ga, s);
	})();
	</script>
</head>
<body>
<b>Nearby Map - Register Services</b> : Register a service nearby<br/><br/>
<div id='message'></div>
<div id="inputs">
	Name: <input id="nam1" type="text" size="40" /> 
	<select id="cat1">
		<option>General</option>
		<option>Dental</option>
		<option>Paediatrics</option>
		<option>Gynaecology</option>
		<option>Orthopaedics</option>
		<option>Neurology</option>
		<option>General surgery</option>
		<option>Psychiatry</option>
		<option>Pathology</option>
	</select><br/>
	Address: <input id="startField1" type="search" size="50" /><br/>
	Latitude: <input id="lat1" type="text" size="15" />
	&nbsp; &nbsp;
	Longitude: <input id="lng1" type="text" size="15"><br/>
	Open Time: <input id="opn1" type="text" size="4" value="0900"> 
	Close Time: <input id="cls1" type="text" size="4" value="1800"> (e.g. 1800 for 6 pm)<br/>
	<input type="checkbox" id="Mon" value="Mon" checked="true">Mon
	<input type="checkbox" id="Tue" value="Tue" checked="true">Tue
	<input type="checkbox" id="Wed" value="Wed" checked="true">Wed
	<input type="checkbox" id="Thu" value="Thu" checked="true">Thu
	<input type="checkbox" id="Fri" value="Fri" checked="true">Fri
	<input type="checkbox" id="Sat" value="Sat">Sat
	<input type="checkbox" id="Sun" value="Sun">Sun
	<br/>
	
	<button type="button" onclick="submitToFT();">Register Service</button>
</div><br/>
<div id="map"></div><br/>
<div id="resultPanel" style="visibility: hidden;" >
	<div id="gplusPanel" class="g-plus" data-action="share" ></div>
	<script type="text/javascript">
		(function() { try {
			var po = document.createElement('script');  po.type = 'text/javascript';
			po.async = true; po.src = 'https://apis.google.com/js/plusone.js';
			var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(po, s);
		} catch(e) { console.log('Error in creating GPlus panel. ' + e.message);}})();
	</script>
</div>
</body>
</html>
